How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $346.74 Median $524.81 Typical High $1,949.84 | Facility | None | $346.74 | $524.81 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $537.03 | Professional | None | $346.74 | $346.74 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $1,230.27 | Professional | None | $257.04 | $257.04 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $933.25 Typical High $2,290.87 | Facility | None | $616.60 | $933.25 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Emblem Health Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $2,290.87 | Facility | None | $630.96 | $1,047.13 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $1,174.90 | Professional | None | $630.96 | $758.58 | $1,174.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $707.95 | Professional | None | $416.87 | $630.96 | $707.95 |
MVP Health Care Setting Facility Modifier None Typical Low $630.96 Median $1,148.15 Typical High $3,311.31 | Facility | None | $630.96 | $1,148.15 | $3,311.31 |
MVP Health Care Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $1,318.26 | Professional | None | $416.87 | $478.63 | $1,318.26 |
United Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $794.33 | Facility | None | $575.44 | $630.96 | $794.33 |
United Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $977.24 | Professional | None | $269.15 | $309.03 | $977.24 |
Univera Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $724.44 | Facility | None | $416.87 | $645.65 | $724.44 |
Univera Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $691.83 | Professional | None | $416.87 | $630.96 | $691.83 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $269.15 | Professional | 52 · Reduced service | $173.78 | $173.78 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $107.15 | Professional | 53 · Discontinued | $69.18 | $69.18 | $107.15 |
Where New York sits
The same service costs 11.7 times more in Texas than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 40th of 51
$417
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.